Senior Claims Consultant

A recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE    :           PermanentSECTOR                          :           InsuranceBASIC SALARY              :           Market RelatedSTART DATE                  :           A.S.A.P / ImmediateREQUIREMENTS:3 years commercial claims experienceMicrosoft Office (Word, Excel)CIMS - advantageousMatric or equivalent qualificationRE5 – NON NEGOTIABLEFAIS compliant (credits and/or full qualification)DUTIES:Ensure appropriate minimization of claims and claims expensesEnsure and contribute to minimization of general expensesEnsure that all stakeholder (e.g. clients, AE's, insurers) communication is accurate, timeous, professional and relevantBuild and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholdersKeep client informed regarding to progression of the claimEnsure and contribute to achieving the required client satisfaction targetsClaims AdministrationReceive claims notification, and send and obtain any relevant forms or documents as may be requiredAdminister complete claims process according to defined claims procedures until claims are settledAppoint assessor or loss adjustorApply policy terms and conditionsKeep internal system and records up to date at all timesKeep relevant internal stakeholders up to date on the progress of registered claimsMake assessment of claims validity and estimate value and administer mandated claimsForward claims in excess of mandate to insurerObtain quotes for servicesArrange approval and payment for claims costs in line with claims and coverAct as intermediary between insurer and client and timeously relay communication, requests and documentationFollow the recoveries process, diarize follow-ups and keep clients informedEnsure productivity targets are metContribute towards and ensure continuous improvement in own and team performanceAdhere to company mandatesParticipate and contribute in ad hoc projectsReport any suspected fraud, misrepresentation and/or dishonestyKeep accurate record of own activitiesLive the RBS values by committing to the organizational valuesEnsure continuous self-developmentShare information and knowledge with the teamHOURS:Mon – Fri: 08:00 – 16:30